Pilot Logbook Template
Transcript of Pilot Logbook Template
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
CO-PILOT, STUDENT OR PASSENGER
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
CO-PILOT, STUDENT OR PASSENGER
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007
CO-PILOT, STUDENT OR PASSENGER
CO-PILOT, STUDENT OR PASSENGER
MONTH DATE MAKE/MODEL REGISTRATIONPILOT IN COMMAND
ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
CO-PILOT, STUDENT OR PASSENGER
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
0.0 0.0
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHT
TAKE-OFFS & LANDINGS
# IFR Approaches
TAKE-OFFS & LANDINGS
DUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOTDUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
# IFR Approaches
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED ->
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY2004 DAY NIGHT
DUAL SIMUL.DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
Y C
ON
TRO
LS
TAX
IING
ATT
ITU
DE
S &
MO
VE
ME
NTS
STR
AIG
HT
& L
EV
EL
FLIG
HT
CLI
MB
ING
DE
SC
EN
DIN
G
TUR
NS
/STE
EP
TU
RN
S
RA
NG
E &
EN
DU
RA
NC
E
SLO
W F
LIG
HT
STA
LL
SP
IN
SP
IRA
L
SID
ES
LIP
TAKE-OFF
CIR
CU
IT
APPROACH & LANDING
ILLU
SIO
NS
PR
EC
AU
TIO
NA
RY
FOR
CE
D L
AN
DIN
G
NAVIGATION INSTRUMENT
EM
ER
GE
NC
Y P
RO
RA
DIO
CO
MM
UN
ICA
TIO
NS
NO
RM
AL
SH
OR
T/M
INIM
UM
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
NO
RM
AL
SH
OR
T
SO
FT/R
OU
GH
OB
STA
CLE
CR
OS
SW
IND
DE
PA
RTU
RE
PR
O
EN
RO
UTE
PR
O
DIV
ER
SIO
NS
FULL
PA
NE
L
LIM
ITE
D P
AN
EL
UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE